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HomeMy WebLinkAboutKeen, Tori - 497 Form 090924497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of Date Stamp �� v Tori Keen for Atascadero City Council 2024 This Filing 09/09/2024C t 500.00 ❑ COM AREA CODE/PHONE NUMBER I.D. NUMBER (Inapplicable) Forfficial PTY Report No. o9o9zo24-1 ❑ SCC O Use Only (916)348-9100 1470439 �� r 0 JI 9 2024 F-1IND STREET ADDRESS 500.00 ❑ Amendment 5445 Madison Avenue to Report No. (explain below) FY OF A! A-:(_"AD IITY CLERK'S OFF RO CF CITY STATE ZIP CODE Sacramento CA 95841 No. of Pages 1 i 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 08/19/2024 SLO County Democratic Party 5445 Madison Ave Sacramento, CA 95841 Committee ID # 742552 09/06/2024 SLO County Democratic Party 5445 Madison Ave Sacramento, CA 95841 Committee ID # 742552 Reason for Amendment: CONTRIBUTOR ` IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED ❑ IND 500.00 ❑ COM ❑ OTH ❑ Check if Loan PTY ❑ SCC i Provide interest rate F-1IND 500.00 ❑ COM ❑ OTH ❑ Check if Loan © PTY ❑ SCC i Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov